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目的探讨宫颈妊娠的早期诊断及合理有效的治疗方法。方法我院于2003年6月至2008年10月共收治26例宫颈妊娠患者,25例甲氨蝶呤治疗,其中9例甲氨蝶呤治疗后宫腔镜下清宫,1例子宫动脉栓塞治疗后及甲氨蝶呤治疗后宫腔镜下清宫。结果26例均保守治疗成功。结论甲氨蝶呤杀胚治疗后可免于清宫或有效减少清宫术中出血量。采用甲氨蝶呤、介入及宫腔镜治疗安全有效,可极大限度地保留妇女的生育功能。
Objective To investigate the early diagnosis of cervical pregnancy and reasonable and effective treatment. Methods A total of 26 cases of cervical pregnancy and 25 cases of methotrexate were treated in our hospital from June 2003 to October 2008. Among them, 9 cases were treated with methotrexate, hysteroscopic and 1 case with uterine artery embolization And methotrexate hysteroscopic treatment of hysteroscopy. Results 26 cases were conservative treatment success. Conclusion Methotrexate to kill the embryo after treatment may be free from the Qing or reduce the amount of curettage bleeding. Methotrexate, intervention and hysteroscopic treatment of safe and effective, can maximize the retention of women’s reproductive function.